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Larry and Kay Gift

MHSFCA Clinic / Recruiting Seminars
College Registration

Name: *

College: *

Email: *

MHSFCA Annual Clinic (January 17th-19th)

Attend Clinic

YesNo

Annual Recruiting Seminars (All times 5:30-7:30)

Location

	Attending
Flint Carmen-Ainsworth (Dec. 4th)	Radio Buttons YesNo
Jackson (Dec. 4th)	Radio Buttons YesNo
Grayling (Dec. 5th)	Radio Buttons YesNo
Dearborn Edsel-Ford (Dec. 5th)	Radio Buttons YesNo
Grandville (Dec. 6th)	Radio Buttons YesNo
St. Clarie Shores Lakeview (Dec. 10th)	Radio Buttons YesNo
Negaunee (Dec. 11th)	Radio Buttons YesNo
Walled Lake Western (Dec. 11th)	Radio Buttons YesNo

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To sign up for the Clinic and College Seminars - Enter "1" under Number for College Table.

To sign up for just College Seminars:
If you are attending 1 to 3 events. Enter 1, 2, or 3 under Number for College Seminars (1, 2, or 3 events).
If you are attending 4 or more events. Enter "1" under Number for College Seminars (4 or more).

You should only have one item selected under Number.